I bought a Ploopy Thumb a few years ago. I assembled it myself, and was pleasantly surprised at how easy it was (when actually following the instructions).
The small button on the right has broken twice, which wasn't a problem because I just downloaded the stl file and reprinted the button assembly.
I wanted horizontal scrolling, so I used QMK to make the trackball a scroll wheel when the right side button is pressed (that may explain the faster button wear). It was surprisingly easy, and there was even a comment in the source code pointing out which line I should modify for horizontal scrolling support. I guess they expected people to want this feature.
The price is high, but I don't expect to buy another mouse unless my needs change. The open source hardware and software is excellent, making repairability 10/10. The edges of the buttons are slightly rough, but I have the 3d printing files, so I get to choose what material it's made of and what post processing / smoothing is used. It hasn't bothered me enough to do anything about it.
While I can't recommend a trackball mouse to anyone, I can recommend Ploopy. It's one of the few products that I feel like I actually own.

